| NPI | 1518375922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0013691) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2026-04-05 |